JUAN CARLOS ZEBALLOS CHAVEZ M.D.
NPI 1841363223
Internal Medicine - Pulmonary Disease in Maplewood, MN

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109(651) 471-1166 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Juan Carlos Zeballos Chavez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN CARLOS ZEBALLOS CHAVEZ M.D. (NPI 1841363223) is an individual pulmonary disease provider in Maplewood, Minnesota, licensed in Minnesota (57358) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1841363223
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJUAN CARLOS ZEBALLOS CHAVEZCredential: M.D.
Location Address1600 SAINT JOHNS BLVD, SUITE 201Maplewood, MN 55109-1183
Mailing Address1600 Saint Johns Blvd, Suite 201Maplewood, MN 55109-1183 · (651) 471-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 16, 2006
Last NPPES UpdateJune 14, 2016
✔ NPI 1841363223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MN · 57358
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 49407-020 (WI)
1600 SAINT JOHNS BLVD, Maplewood, MN 55109

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Carlos Zeballos Chavez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446448260
PECOS Enrollment IDI20131028000468, I20240904003621
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services36 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
34 services34 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier23 claims23 services$2.87 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$25.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers57 claims57 services$64.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$31.49 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
6 suppliers15 claims3,658 services$0.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$35.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
MAPLEWOOD, MN 55109
Dentist (General Practice)
1600 SAINT JOHNS BLVD, SUITE 100
MAPLEWOOD, MN 55109
Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
SAINT PAUL, MN 55109
Dentist (General Practice)
1600 SAINT JOHNS BLVD, SUITE 100
MAPLEWOOD, MN 55109
Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
MAPLEWOOD, MN 55109
Registered Nurse
1600 SAINT JOHNS BLVD, #200
MAPLEWOOD, MN 55109
Internal Medicine (Pulmonary Disease)
1600 SAINT JOHNS BLVD, STE 200
MAPLEWOOD, MN 55109
Nurse Practitioner (Acute Care)
1600 SAINT JOHNS BLVD, SUITE 201
MAPLEWOOD, MN 55109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Zeballos Chavez's NPI number?

The NPI number for Juan Zeballos Chavez is 1841363223. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Juan Zeballos Chavez located?

Juan Zeballos Chavez practices at 1600 Saint Johns Blvd Suite 201, Maplewood, MN 55109. The listed phone number is (651) 471-1166.

What is Juan Zeballos Chavez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Juan Zeballos Chavez enrolled in Medicare?

Yes. Juan Zeballos Chavez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Juan Zeballos Chavez accept?

Health plans from Blue Cross Blue Shield of Arizona, Medica and Sanford Health Plan list Juan Zeballos Chavez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Juan Zeballos Chavez affiliated with any hospitals?

According to CMS data, Juan Zeballos Chavez is affiliated with M Health Fairview Ridges Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Juan Zeballos Chavez was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.